Organization Active NPI

Renova Mobility, LLC

  • Non-emergency Medical Transport (VAN)
  • Takoma Park, MD
National Provider Identifier
1811858046
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
RENOVA MOBILITY, LLC
Practice address
7777 Maple Ave
Takoma Park, MD 20912-5639
Phone
(240) 338-9043
NPI assigned
Nov 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanueal G Fissha
Title
Owner
Phone
(240) 338-9043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

7777 Maple Ave
Takoma Park, MD 20912-5639

Mailing address

7777 Maple Ave
Takoma Park, MD 20912-5639
Phone (240) 338-9043

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1811858046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 MAPLE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125639",
            "telephone_number": "240-338-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MAPLE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125639",
            "telephone_number": "240-338-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "FISSHA",
        "authorized_official_first_name": "AMANUEAL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-338-9043"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.